Century Club of Distinguished
Duquesne University Alumni Nomination Form

Membership Criteria

Nominations will be reviewed annually by the Public Honors and Events committee. Candidates must be
alumni of the University who exemplify the following criteria:

  • Demonstrated success and distinction in the graduate's chosen field of endeavor
  • Significant contributions to humankind, including public or humanitarian service, and
  • Service to Duquesne University

Please print or type responses and mail the completed form to:

Century Club
Duquesne University
408 Administration Building Pittsburgh, PA 15282

Nomination Form

Nominee:
   
School(s)/Years:
   
Job Title:
   
Business Name:
   
Home Address/Phone:
   
Business Address/Phone:
   
 
   
 
List other degrees received (including honorary) and dates:
 
 

 


Please thoroughly answer all of the following. If you are attaching additional information on a separate sheet, please number each question accordingly.

1. Business or professional background in chronological order (give dates where possible):


2. Outstanding accomplishments in the nominee's field of business, profession or the arts:


3. Organizations to which the nominee belongs (i.e., sororities/fraternities, technical societies, professional associations, civic organizations, or clubs):


4. Offices held (please list the names of the educational, civic, public, corporate or professional organizations or institutions, as well as the offices or positions occupied):


5. Decorations, honors, awards, etc., received:


6. Important writings, scientific or professional contributions (indicate which and give publication dates):


7. Record of nominee's volunteer efforts in support of Duquesne University:


8. Nominee's record of humanitarian service:


9. In your opinion, why does the nominee qualify for membership?


Please feel free to include any supporting documents.


Nominator:

   
Date:
   
Title:
   
Phone: